3701:1-58-102
Report and notification of a dose to an embryo/fetus or a nursing child.

(A)
A licensee
shall report any dose to an embryo/fetus that is greater than fifty
millisievert (five rem) dose
equivalent that is a result of an administration of radioactive material or
radiation from radioactive material to a pregnant individual unless the dose to
the embryo/fetus was specifically approved, in advance, by the authorized user.

(B)
A licensee shall report any
dose to a nursing child that is a result of an administration of radioactive
material to a breast-feeding individual that:

(1)
Is greater than fifty millisievert (five rem) total effective dose equivalent; or

(2)
Has resulted in unintended permanent
functional damage to an organ or a physiological system of the child, as
determined by a physician.

(C)
The licensee shall notify by telephone
the Ohio department of health, bureau of radiation protection no later than the
next calendar day after discovery of a dose to the embryo/fetus or nursing
child that requires a report in paragraph (A) or (B) in this rule.

(D)
The licensee shall submit a written
report to the appropriate address listed in rule
3701:1-40-04 of the
Administrative Code within fifteen days after discovery of a dose to the
embryo/fetus or nursing child that requires a report in paragraph (A) or (B) in
this rule.

(f)
What actions, if any, have been taken or
are planned to prevent recurrence; and

(g)
Certification that the licensee notified
the pregnant individual or mother (or the mother's or child's personal
representative), and if not, why not.

(2)
The report must not contain the
individual's or child's name or any other information that could lead to
identification of the individual or child.

(E)
The licensee shall provide notification
of the event to the referring physician and also notify the pregnant individual
or mother, both hereafter referred to as the mother, no later than twenty-four
hours after discovery of an event that would require reporting under paragraph
(A) or (B) of this rule, unless the referring physician personally informs the
licensee either that he or she will inform the mother or that, based on medical
judgment, telling the mother would be harmful to the mother. The licensee is
not required to notify the mother without first consulting with the referring
physician. If the referring physician or mother cannot be reached within
twenty-four hours, the licensee shall make the appropriate notifications as
soon as possible thereafter. The licensee may not delay any appropriate medical
care for the embryo/fetus or for the nursing child, including any necessary
remedial care as a result of the event, because of any delay in notification.
To meet the requirements of this paragraph, the notification may be made to the
mother's or child's personal representative instead of the mother. If a verbal
notification is made, the licensee shall inform the mother, or the mother's or
child's personal representative, that a written description of the event can be
obtained from the licensee upon request. The licensee shall provide such a
written description if requested.